Individual provider Active NPI

Naomi Leah Demasters, L.P.N.

  • Licensed Practical Nurse
  • Colorado Springs, CO
National Provider Identifier
1093049801
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
46470 Issued in CO
Practice address
4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908
Phone
(303) 614-1400
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 46470 CO Primary

Addresses

Primary practice location

4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908

Mailing address

4501 Briargate Pkwy.
Colorado Springs Medical Office
Colorado Springs, CO 80908
Phone (303) 614-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46470COMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1093049801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BRIARGATE PKWY.",
            "address_2": "COLORADO SPRINGS MEDICAL OFFICE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "303-614-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BRIARGATE PKWY.",
            "address_2": "COLORADO SPRINGS MEDICAL OFFICE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80908",
            "telephone_number": "303-614-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASTERS",
        "first_name": "NAOMI",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "46470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.